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NPI Code Detail

MEDICARE: KEITH R BEREND MD

MEDICARE: KEITH R BEREND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician35-08-1039OH
2207X00000XOrthopaedic Surgery Physician35.081039OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003809484
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH R BEREND MD
Provider Business Mailing Address
First Line : 6480 HARRISON AVE STE 201
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-713-1779
Fax Number : 513-854-9921
Provider Business Practice Location Address
First Line : 7277 SMITHS MILL RD STE 200
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8195
Country : US
Telephone Number : 614-221-6331
Fax Number : 142-219-0426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/09/2023

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